MICHAELA JEAN ENNIS NPI 1922649680

NPI Information

NPI: 1922649680
Provider Name: MICHAELA JEAN ENNIS
Classification: Registered Nurse - 163WP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
38 SENECA ST
BALDWINSVILLE, NY
ZIP 13027
Phone: (315) 558-0976
Get Directions

Michaela Jean Ennis is a pediatrics registered nurse in Baldwinsville, NY. Michaela Jean Ennis NPI is 1922649680. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38 SENECA ST
BALDWINSVILLE, NY
ZIP 13027-809
Phone: (315) 558-0976

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	721390	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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